SEA CHANGE THERAPY LLC
NPI 1518648401
Social Worker - Clinical in Albuquerque, NM

Active since July 25, 2023
712 VALENCIA DR NE, ALBUQUERQUE, NM 87108(505) 463-6740 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sea Change Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEA CHANGE THERAPY LLC (NPI 1518648401) is a healthcare organization registered as a clinical in Albuquerque, New Mexico and active in the NPI registry since July 2023. The organization lists Fernando Ortiz, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1518648401
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSEA CHANGE THERAPY LLC
Location Address712 VALENCIA DR NEAlbuquerque, NM 87108-1750
Mailing Address712 Valencia Dr NeAlbuquerque, NM 87108-1750
Organization SubpartNo
Authorized OfficialFernando OrtizCredentialing Manager · (575) 707-8150
Enumeration DateJuly 25, 2023
NPPES CertifiedJuly 25, 2023
✔ NPI 1518648401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
712 VALENCIA DR NE, Albuquerque, NM 87108

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sea Change Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sea Change Therapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1548553308
1218 GRIEGOS RD NW
Albuquerque, NM 87107
(505) 345-8471
✔ PECOS✔ Accepts Medicare5.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sea Change Therapy LLC's NPI number?

The NPI number for Sea Change Therapy LLC is 1518648401. It was assigned to this organization in the NPPES registry on July 25, 2023.

Where is Sea Change Therapy LLC located?

Sea Change Therapy LLC is located at 712 Valencia Dr NE, Albuquerque, NM 87108. The listed phone number is (505) 463-6740.

What is Sea Change Therapy LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sea Change Therapy LLC enrolled in Medicare?

Yes. Sea Change Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sea Change Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Sea Change Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sea Change Therapy LLC was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.